Leamington Regency 10k
Organised by Leamington and District Round Table
Sponsored by Wright Hassall Solicitors

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Entry fee: £15 (unaffiliated) £13 (UKA club affiliated). All proceeds to be donated to local charities.

All finishers will receive a medal and T-shirt, with trophies for all category winners and 1st, 2nd and 3rd men and ladies.

Race packs will be posted out March 2010.

First name:
Second name:
Gender:
Address Line 1:
Address Line 2:
Post Town:
County:
Postcode:
Phone number:
E-mail:
Club team:
Company team:
Date of birth:
Entry type:

I declare that I am fit to run at my own risk, and that organisers will not be held responsible for any loss, injury or damage that may occur as result of my participation. I am aged 15 years or over.